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Dr. Vijay Kumar Malhotra

MBBS

Pediatrician, Delhi

36 Years Experience
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Dr. Vijay Kumar Malhotra MBBS Pediatrician, Delhi
36 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vijay Kumar Malhotra
Dr. Vijay Kumar Malhotra is one of the best Pediatricians in Pitampura, Delhi. He has helped numerous patients in his 36 years of experience as a Pediatrician. He is a MBBS . He is currently associated with Vijay Clinic in Pitampura, Delhi. Book an appointment online with Dr. Vijay Kumar Malhotra and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - govt Medical College Amritsar - 1982
Languages spoken
English
Hindi

Location

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Vijay Clinic

Clinic Add PD-113A Near ND Market Vishakha Enclave Pitampura Delhi - 110034Delhi Get Directions
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How will my 6 month old baby hair grow faster, since her birth it seems like it does not grow,

MBBS, MD-Pediatrics
Pediatrician, Bhubaneswar
How will my 6 month old baby hair grow faster, since her birth it seems like it does not grow,
Hello mam, the hair growth pattern will change as the baby will grow. So no need to be so much anxious now.
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Our baby is 20 day old and some time he spit up after feeding in night, doctor suggest Domstal Baby Oral drops (Domperidone) 0.5 ml three time a day. My question is Is it safe for baby bcoz as mention on medicine box does is high for him.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Our baby is 20 day old and some time he spit up after feeding in night, doctor suggest Domstal Baby Oral drops (Dompe...
Domstal drops are certainly not suggested. All babies regurgitate feeds and holding the baby upright, frquent burping and putting the baby on her side while lying down will do the trick.
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Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

Hi. My daughter is 3.2 years old. She has cold n cough. Also, this time she is getting pus white or creamy thing in both eyes. This is existing from last 2 days. Her eyes were sticky when she woke up in the morning. Please suggest.

MD - Paediatrics
Pediatrician, Bangalore
Discharge from the eyes during cold and cough is normal. Do steam inhalation, the eye discharge will come down. If she as redness with pain and yellowish discharge from eyes, then she needs medication.
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I have premature baby he takes powder milk when he was born his weigh was 900 gram now he is six month old his weight 4500 gram why his growth is average and please tell me how many ml of milk he should take after each 2 hours.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I have premature baby he takes powder milk when he was born his weigh was 900 gram now he is six month old his weight...
Birthweight usually doubles by 5 months. As he was a premature baby his weight gain is more than adequate. Lf you are breastfeeding it's fine otherwise you can feed him top feeds around 150ml once in 3 -4 hours.
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Hello Doctor As per consulted, I am nebulising my kid with levolin, duolin and budate. One day went, I feel he is feeling sleepy and tired also he has less appetite. Is it fine or any kind of side effect. please suggest.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
We have good homeopathic medicines for asthma, cold allergy and many other respiratory diseases. But the recurrency of your disease needs to be broken, which is possible only by constitutional homeopathic medicines. For this, we need to record all your physical as well as psychological symptoms, so that proper treatment is to be started then. So do book an online appointment for detailed case to be taken and treatment to be started as soon as possible. Besides this, take steam inhalation, do saline water gargle, avoid fatty, fried and oily food, be hydrated, take proper rest, avoid cold and sour food. For more queries, consult us.
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Becoming Parents: An Emotional Journey

Panchkula & Delhi
Mother and Child Care, Panchkula
Becoming Parents: An Emotional Journey

The journey to parenthood begins long before the baby arrives, long before the expectant parents ever set eyes on the new life they have created. Being a parent is hard and exhausting, mentally, physically and emotionally. As a mother, one goes through a journey that encompasses huge changes to her body, her emotional state of mind, career, relationship with partner and her entire outlook on the world around her but, let's not forget the emotional impact on fathers too.

There is no, particular psychological pathway to parenthood as every couple's experience is shaped by a unique set of circumstances; their own childhood memories of their parents, observations of other parents and by the type of relationship they have with each other.

Being parents changes you: Becoming a parent changes two fundamental things: first, your perception about yourself, and secondly, it changes the nature of your relationship with your partner. You need to understand that you're no longer two independent adults but a team. You have to prioritize the needs of your child over and above your own needs. The sooner you realize and implement this in your life, the better you turn out as a parent.

Planning is essential: As an expectant couple, you need to plan and prepare, not to guarantee a result, but to open their minds to the vast enormities of the life changes that you are about to experience. This way you will be better prepared and equipped to cope with the challenges and situations that may come your way. You should try to imagine what your life will be like, after the baby arrives, realistically. The pregnancy period is an opportunity for both - the mother and the father, to run through a psychological rehearsal of "life after the birth of baby". Although it is, unrealistic and impractical for the expectant parents to think that, they can strategize for every conceivable scenario related to new parenthood, what so ever it may be, however, they can use the nine months of pregnancy to begin to reflect on how a baby will affect their relationship.

4730 people found this helpful

Hi, I have 1 year and 4 month old child suffering form dysentery problem. Which food you prefer for him.Please suggest.

DNB, Diploma in Child Health (DCH), MBBS Bachelor of Medicine and Bachelor of Surgery
Pediatrician, Mumbai
Hi, I have 1 year and 4 month old child suffering form dysentery problem. Which food you prefer for him.Please suggest.
A dist of curd, rice .kanji, good amount of liquids in form of apple juice etc, would help. Give nonspicy food.
1 person found this helpful
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